Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $118.45 / $401.09	Facility		$51.58	$118.45	$401.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $41.27 / $41.27	Professional		$11.32	$41.27	$41.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Facility		$34.04	$34.04	$34.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.04 / $17.55	Professional		$9.08	$14.04	$17.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $11.17 / $11.17	Facility		$11.17	$11.17	$11.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $49.28	Professional		$12.32	$12.32	$49.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $47.43 / $79.48	Facility		$43.12	$47.43	$79.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $27.72 / $142.13	Professional		$11.09	$27.72	$142.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $11.17 / $43.12	Facility		$11.17	$11.17	$43.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $15.93 / $17.80	Professional		$12.32	$15.93	$17.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $24.64 / $30.42	Professional		$7.75	$24.64	$30.42